Dr Santa Locascio, DDS | |
7016 Fresh Pond Rd, Ridgewood, NY 11385-5902 | |
(718) 628-6588 | |
Not Available |
Full Name | Dr Santa Locascio |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 7016 Fresh Pond Rd, Ridgewood, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801112495 | NPI | - | NPPES |
01197731 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 042722 (New York) | Primary |
Entity Name | Santa Locascio Dds Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326018300 PECOS PAC ID: 0547571242 Enrollment ID: O20150623000121 |
Mailing Address | Practice Location Address |
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Dr Santa Locascio, DDS 7016 Fresh Pond Rd, Ridgewood, NY 11385-5902 Ph: (718) 628-6588 | Dr Santa Locascio, DDS 7016 Fresh Pond Rd, Ridgewood, NY 11385-5902 Ph: (718) 628-6588 |
Dorota M Kwapisiewicz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6007 Myrtle Ave, Ridgewood, NY 11385 Phone: 718-456-2727 Fax: 718-456-2728 | |
Dr. Suresh N Bendale, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 337 Saint Nicholas Ave, Ridgewood, NY 11385 Phone: 718-366-4107 Fax: 718-366-4107 | |
Ana Livia Polanco, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1640 Madison St, Ridgewood, NY 11385 Phone: 718-456-0751 Fax: 718-418-2407 | |
Waldo Cubero, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 681a Seneca Ave, Ridgewood, NY 11385 Phone: 917-407-0282 | |
Ronald S Wershba, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5621 Metropoliatan Ave, Ridgewood, NY 11385 Phone: 718-281-2149 | |
Inna Vaksman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5647 Myrtle Avenue, 1st Floor, Ridgewood, NY 11385 Phone: 718-417-6300 Fax: 718-417-3535 | |
Mrs. Dorota Gasior, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1917 Woodbine St, Ridgewood, NY 11385 Phone: 917-270-9315 |